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February 3, 2005 Vol. 352 No. 5
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CD20 is a surface protein confined to B cells. An anti-CD20 antibody will bind only to B cells. A monoclonal anti-CD20 antibody tagged with iodine-131 can deliver radiation from decaying iodine-131 to B cells. These principles were applied to the initial treatment of advanced follicular lymphoma with a single infusion of 131I-tagged mouse anti-CD20 antibody (131I-labeled tositumomab). More than half the patients had a complete remission, and most of them have remained in complete remission for as long as seven years.
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This analysis of national data shows that since the implementation of a program of universal childhood varicella vaccination in 1995, the mortality from this disease has declined sharply. During the period of 1990 through 1994 in the United States, there were about 145 deaths per year due to varicella. By 1999 through 2001 the number of deaths had declined to about 66 per year.
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In a series of 22 patients with primary generalized dystonia refractory to medical therapy, bilateral pallidal stimulation significantly improved movement and functional disability, without adverse effects on cognition or mood. Complications occurred in three patients, without permanent sequelae.
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Colorectal cancer is one of the most commonly diagnosed malignant diseases, with an estimated 1,023,000 new cases and 529,000 deaths worldwide each year. This review considers recently developed cytotoxic chemotherapies and biologic agents that are effective against colorectal cancer and assesses their use as treatments for metastatic disease and as components of adjuvant therapy.
A 20-year-old man was transferred to an academic medical center for further evaluation of diarrhea, abdominal pain, and fever. Two months before admission, he presented to a community hospital with dull, intermittent pain in the right lower quadrant. A colonoscopy performed at that time revealed patchy erythema, edema, and ulcerations from the transverse colon to the cecum. The terminal ileum also appeared inflamed and had linear ulcerations.
A patient's right to privacy ends with the patient's death, but the privacy rights of the surviving family members are less clear. Annas discusses recent court rulings that have broadened privacy rights to include the family of the deceased. An Icelandic court ruled that a daughter could prevent the inclusion of information about her deceased father in a genetics research database. Given that relatives share patients' DNA, issues of family privacy will be hotly debated as genetic testing becomes more common in research and clinical practice.
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